Novello P, Ajmar G, Bianchini D, Bo G P, Cammarata S, Firpo M P, Parodi C I, Patrone A, Pizio N, Poeta M G
Divisione Neurologica, E.O. Ospedali Galliera, Genova.
Ital J Neurol Sci. 1993 Oct;14(7):571-6. doi: 10.1007/BF02339217.
In view of the higher prevalence of severe ischemic stroke among patients with atrial fibrillation (AF) and of the recently reported higher frequency of stroke with AF in females, 516 consecutive patients with ischemic stroke, of whom 93 had AF, were retrospectively evaluated. The main anamnestic, clinical and laboratory features of the AF and non-AF groups were statistically compared and the features of the AF group were statistically evaluated according to gender and age. Our results confirm the greater severity of stroke in AF patients than in non-AF patients and the higher frequency of stroke with AF in female patients. Moreover, a significantly higher frequency of stroke with AF was found in the male 60-69 and the female 80-89 age groups than in the other age groups. Relevant risk factors in females aged 80-89 were hypertension and left ventricular hypertrophy (LVH), while diabetes, alcohol, smoking and LVH prevailed among 60-69 year old males.
鉴于心房颤动（AF）患者中严重缺血性卒中的患病率较高，且近期报道女性AF患者的卒中发生率更高，我们对516例连续性缺血性卒中患者进行了回顾性评估，其中93例患有AF。对AF组和非AF组的主要既往史、临床和实验室特征进行了统计学比较，并根据性别和年龄对AF组的特征进行了统计学评估。我们的结果证实，AF患者的卒中严重程度高于非AF患者，女性AF患者的卒中发生率更高。此外，发现男性60 - 69岁和女性80 - 89岁年龄组的AF相关性卒中发生率明显高于其他年龄组。80 - 89岁女性的相关危险因素为高血压和左心室肥厚（LVH），而60 - 69岁男性中糖尿病、饮酒、吸烟和LVH更为常见。
